John D Koziarski (NPI# 1710971155, PAC ID# 4981504883) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1710971155 |
| PAC ID by PECOS | 4981504883 |
| Professional Enrollment ID | I20191206000283 |
| Full Name | John D Koziarski |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Address |
7765 144th St Unit 1 Sebastian FL 32958-3206 |
| Phone Number | 7723883551 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
| Graduation Year | 1989 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6901893155 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230075 | BRONSON BATTLE CREEK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5101 Okeechobee Rd, Fort Pierce, FL 34947-5415 | 7725955995 | WATERS EDGE DERMATOLOGY LLC |
| 7765 144th St, Unit 1, Sebastian, FL 32958-3206 | 7723883551 | WATERS EDGE DERMATOLOGY LLC |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Carp | Dermatology | Waters Edge Dermatology LLC | 6642 W Atlantic Ave, Delray Beach, FL 33446-1616 |
| Stefan Doig | Dermatology | Waters Edge Dermatology LLC | 2910 Se3rd Ct, Ocala, FL 34471-0485 |
| Christopher Spock | Dermatology | Waters Edge Dermatology LLC | 121 S State Rd, Suite 7, Wellington, FL 33414-4338 |
| Gioconda A Boaz | Physician Assistant | Waters Edge Dermatology LLC | 2685 Forest Hill Blvd, West Palm Beach, FL 33406-5930 |
| Claudia Alejandra Vera | Physician Assistant | Waters Edge Dermatology LLC | 562 N Us Hwy 27, Lady Lake, FL 32159-3776 |
| Shery M Varghese | Dermatology | Waters Edge Dermatology LLC | 590 Malabar Rd Se, Suite 2, Palm Bay, FL 32907-3108 |
| Michael T Siino | Physician Assistant | Waters Edge Dermatology LLC | 7605 Conroy Windermere Rd, Orlando, FL 32835-2646 |
| Laura B Destefano | Dermatology | Waters Edge Dermatology LLC | 2484 Caring Way, Unit C, Port Charlotte, FL 33952-5306 |
| Theodore A Schiff | Dermatology | Waters Edge Dermatology LLC | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 |
| John Gregory Neily | Dermatology | Waters Edge Dermatology LLC | 4315 Tamiami Trl S, Venice, FL 34293-5117 |
| Street Address |
7765 144TH ST UNIT 1 |
| City | SEBASTIAN |
| State | FL |
| Zip | 32958-3206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dwayne D Montie | Dermatology | Waters Edge Dermatology LLC | 7765 144th St, Unit 1, Sebastian, FL 32958-3206 |
| Katherine S Atwood | Physician Assistant | Waters Edge Dermatology LLC | 7765 144th St, Unit 1, Sebastian, FL 32958-3206 |
| Starleen Schaffer | Internal Medicine | 7765 144th St, Unit 4, Sebastian, FL 32958-3206 | |
| Alejandro Perez | Gastroenterology | Steward Medical Group Inc | 7765 144th St, Unit 6, Sebastian, FL 32958-3206 |
| Danica L Alexander | Dermatology | Waters Edge Dermatology LLC | 7765 144th St, Unit 1, Sebastian, FL 32958-3206 |
| Stephen Fitzgerald | Gastroenterology | Steward Medical Group Inc | 7765 144th St, Unit 6, Sebastian, FL 32958-3206 |
| Abimael Rivera Cruz | Dermatology | Waters Edge Dermatology LLC | 7765 144th St, Unit 1, Sebastian, FL 32958-3206 |
| Shanna L Stone | Nurse Practitioner | Waters Edge Dermatology LLC | 7765 144th St, Unit 1, Sebastian, FL 32958-3206 |
| Colene M Calo | Dermatology | Waters Edge Dermatology LLC | 7765 144th St, Sebastian, FL 32958-3206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Prudenti | Clinical Social Worker | 1515 Us Hwy 1, Suite 201, Sebastian, FL 32958 | |
| Andrew Dobo | Psychologist, Clinical | 1515 Us One Hwy 201, Sebastian, FL 32958 | |
| Michael A Mazziotta Ii | Podiatry | Indian River Podiatry P.a. | 1515 Us Hwy 1, Suite 204, Sebastian, FL 32958-1612 |
| Nicholas W Rutledge | Podiatry | Indian River Podiatry P.a. | 1515 Us Hwy 1, Suite 204, Sebastian, FL 32958-1612 |
| Richard M Greene | Psychologist, Clinical | 1515 Us Hwy 1, Suite 201, Sebastian, FL 32958-1612 | |
| Connie R Lawrence-willis | Optometry | 2001 Us Hwy 1, Sebastian, FL 32958-1615 | |
| David J Haile | Podiatry | Podiatry Associates of Indian River County, LLC | 1424 Us Hwy 1 A, Sebastian, FL 32958-1619 |
| Romain Onteniente | Podiatry | Podiatry Associates of Indian River County, LLC | 1424 Us Hwy 1 A, Sebastian, FL 32958-1619 |
| Sharon Paxton | Clinical Social Worker | 735 A Commerce Ctr Dr, Sebastisan, FL 32958-3136 | |
| Lynn D Johnson | Optometry | Jennifer L. Loar Od Pa | 7785 144th St, Sebastian, FL 32958-3207 |
| Find all physicians in zip 32958 | |||
| City | SEBASTIAN |
| Zip Code | 32958 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SEBASTIAN + GENERAL SURGERY |
Please comment or provide details below to improve the information on John D Koziarski.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.